Behavioral Health Nurse Clinician/Case Manager - Addiction Medicine Clinic

$10,000 Sign-On Bonus*
This position supports the newly formed Medication Assisted Treatment (MAT) Urgent Care Team. The team will focus on urgent admissions, buprenorphine induction/stabilization, and follow-up on referrals. The BHN may also have a case load of Office Based Addiction Treatment (OBAT) clients. AMC provides MAT, primarily for those with opioid use disorders who are prescribed buprenorphine. Many of the individuals served have co-occurring disorders.

This position is part of a multi-disciplinary, team-based model including medical and behavioral health staff working closely together to support clients. Shared responsibilities include conducting urine drug screens and breathalyzers, reviewing Prescription Monitoring Program (PMP) reports, communicating with the pharmacy, triaging clinic phone calls, and assisting individuals onsite.

This position will have a condensed work week on Friday, Saturday, and Sunday (12-hour shifts) with 4 hours of telework during the business week. AMC is based at the Sharon Bulova Center for Community Health (formerly Merrifield Center).

Position may be underfilled as a BHN Clinician/Case Manager in Residence; the underfill requirements are stated below in the Employment Standards section.

Here are some of additional benefits CSB employees enjoy:

• *The BHN Clinician/Case Manager position includes a signing bonus for fully qualified new merit county employees in the amount of $10,000 (full-time).
• The population of Fairfax County is very diverse where 38.7% of residents speak a language other than English at home (Spanish, Asian/Pacific Islander, Indo-European, and others) and CSB recognizes that staff competence speaking a variety of languages is necessary to meet client needs. We encourage candidate's bilingual in English and a foreign language to apply. A foreign language skills stipend of up to $1,300/year (full-time) may be given for qualified bi-lingual employees.

(The illustrative duties listed in this specification are representative of the class but are not an all-inclusive list. A complete list of position duties and unique physical requirements can be found in the position job description.)

• Provides nursing services to clients, including administering injections, collecting vital signs, administering tests and interfacing with other nursing staff;
• Provides nursing support to psychopharmacological services, crisis intervention, and case consultation for clients with substance use disorders or serious mental illness;
• Administers, schedules and coordinates medication clinics/medical services, including delivery of medication, monitoring medication room, and inventorying medications;
• Complies with state pharmacy guidelines in ordering, storage, and disposal of medications;
• Monitors client responses to psychobiological and nursing interventions, medications and other treatments;
• Performs quality assurance review;
• Performs physical/mental health assessments, including laboratory testing of new clients at intake and to clients on an ongoing basis as case manager;
• Monitors and assesses clients to identify contributing or co-occurring mental health issues;
• Monitors and assesses clients for risk of harm to self and/or others;
• Coordinates client plan of care to assure interventions are consistent, safe, timely and appropriate.
• Assess continuity of care and evaluates coordination of interventions by interdisciplinary team to ensure consistency with the plan of care;
• Provides nursing assistance and information to clients through the telephone "nurse of the day" service;
• Manages medical needs and urgent care needs of clients;
• Monitors and assesses medical status of clients in the process of detoxification;
• Develops a therapeutic relationship with clients, provides supportive counseling, psycho-education, and health teaching for both individuals and groups;
• Serves as case manager for clients for whom medication compliance is essential for remaining out of the hospital;
• Participates on inter-/intra-agency case management teams, providing nursing consultation and
• effective integration between clinical and psychopharmacology services; as well as primary care services;
• Documents assessments, treatment plans and quarterly reports on clinical status of clients;
• Plans, develops and leads group and individual psycho-education, health education and wellness programs;
• Provide teaching on disease, management strategies, emergency care and drug information when appropriate;
• Researches available community, private and government resources to support patient self management of disease, recovery and relapse prevention.

(The knowledge, skills and abilities listed in this specification are representative of the class but are not an all-inclusive list.)

• Knowledge of nursing standards, theories, principles, practices, methods, processes, and procedures;
• Knowledge of federal and state pharmacy and medication clinic regulations and guidelines;
• Knowledge of documentation, nursing diagnosis, and quality assurance;
• Knowledge of human growth and development, anatomy and physiology, pharmacology (e.g., side effects, contraindications), preventive medicine, epidemiology, and nutrition;
• Knowledge of psychiatric, psychological, and/or sociological terminology and concepts;
• Knowledge of substance use disorders and addiction signs and symptoms, assessment techniques, treatment interventions and approaches;
• Knowledge of available community resources for referral or the ability to rapidly acquire such knowledge;
• Ability to perform technical and complex nursing procedures (e.g., injections, venipuncture, blood pressure screening, STD check, tube feeding, nebulizations), administer treatments and medications, and use medical equipment in delivering services to clients;
• Ability to perform emergency treatment(s), with limited supervision, for life threatening conditions;
• Ability to manage a caseload;
• Ability to perform mental and physical health assessments and apply treatment approaches/modalities;
• Ability to assess and monitor the effects of medications;
• Ability to assess level of risk for harm to self or others;
• Ability to develop and implement treatment plans/programs for individuals and groups;
• Ability to work as case manager in a multi-disciplinary team;
• Ability to maintain effective working relationships with co-workers, public and private organizations, community groups, and the general public;
• Ability to communicate effectively, both orally and in writing;
• Ability to maintain records and prepare reports.

MINIMUM QUALIFICATIONS:
Any combination of education, experience, and training equivalent to the following:
(Click on the aforementioned link to learn how Fairfax County interprets equivalencies for "Any combination, experience, and training equivalent to")
Graduation from an accredited college or university with an associate degree in nursing; plus two years of post-licensure experience as a nurse.

UNDERFILL REQUIREMENTS:
This vacancy may be underfilled at the level of BHN Clinician/Case Manager in Residence (S26, $77,640.16 - $129,399.50 ). The employment standards for the BHN Clinician/Case Manager in Residence is:

• Any combination of education, experience, and training equivalent to the following: Graduation from an accredited college or university with an associate degree in nursing.

• Possession of a current license to practice as a Registered Nurse in the Commonwealth of Virginia or a multistate licensure privilege to practice as a Registered Nurse in Virginia.
• CPR/First Aid (Required within 3 months)

• At least two years of experience working with adults diagnosed with serious mental illness and/or co-occurring disorders in an intensive treatment group home, hospital emergency department or psychiatric unit, community-based behavioral emergency services, and/or crisis stabilization setting
• Experience working in a SUD environment